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01.04.2014 | Maternal-Fetal Medicine

Socioeconomic status and depression during and after pregnancy in the Franconian Maternal Health Evaluation Studies (FRAMES)

verfasst von: Alexander Hein, Claudia Rauh, Anne Engel, Lothar Häberle, Ulf Dammer, Franziska Voigt, Peter A. Fasching, Florian Faschingbauer, Pascal Burger, Matthias W. Beckmann, Johannes Kornhuber, Tamme W. Goecke

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 4/2014

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Abstract

Purpose

Depression during and after pregnancy can have a negative impact on women’s quality of life and on the development of the newborn child. Interventions have been shown to have a positive influence on both mothers and children. Predictive factors for depressive symptoms might possibly be able to identify groups that are at high risk. The aim of this study was to investigate the value of socioeconomic factors in predicting depressive symptoms during and after pregnancy.

Methods

Depressiveness was measured using the German version of the 10-item Edinburgh Postnatal Depression Scale (EPDS) at three time-points, in a prospective cohort study (n = 1,100). Visit 1 (Q1) was at study entry in the third trimester of the pregnancy, visit 2 (Q2) was shortly after birth, and visit 3 (Q3) was 6–8 months after birth. Depression scores were associated with socioeconomic factors and time in linear mixed models.

Results

Parity status, education status, monthly income, residential property status, and partnership status, as well as interactions between them, were found to be predictive factors for EPDS scores. The strongest factor influencing depressive symptoms was partnership status. Women who did not have an intact partnership had EPDS scores that were on average four points higher than in women with a partner at all three study visits (P < 0.000001).

Conclusions

Socioeconomic factors define subgroups that have different depression scores during and after pregnancy. Partnership status appears to be one of the most important influencing factors and could be useful for identifying women who should be offered an intervention to prevent possible negative effects on the mother or child.

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Titel: Socioeconomic status and depression during and after pregnancy in the Franconian Maternal Health Evaluation Studies (FRAMES)
verfasst von: Alexander Hein
Claudia Rauh
Anne Engel
Lothar Häberle
Ulf Dammer
Franziska Voigt
Peter A. Fasching
Florian Faschingbauer
Pascal Burger
Matthias W. Beckmann
Johannes Kornhuber
Tamme W. Goecke
Publikationsdatum: 01.04.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 4/2014
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-013-3046-y

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Socioeconomic status and depression during and after pregnancy in the Franconian Maternal Health Evaluation Studies (FRAMES)